Individual
JASON KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 BELLS CREEK CT, CHESAPEAKE, VA 23322-7426
(757) 713-9883
Mailing address
903 BELLS CREEK CT, CHESAPEAKE, VA 23322-7426
(757) 713-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016771
VA
1041C0700X
Clinical Social Worker
C011651
NC
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/15/2025
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